Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.18 / $707.55 / $7,920.26	Facility		$377.18	$707.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $292.80 / $843.84	Professional		$117.31	$292.80	$843.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $411.00 / $1,664.70	Facility		$411.00	$411.00	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $402.75 / $844.82	Professional		$194.90	$402.75	$844.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $505.46 / $778.43	Professional		$353.83	$505.46	$778.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.22 / $357.28 / $655.32	Facility		$199.22	$357.28	$655.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $373.83 / $759.33	Professional		$213.00	$373.83	$759.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.85 / $515.90 / $628.46	Facility		$237.85	$515.90	$628.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.12 / $401.14 / $814.34	Facility		$202.12	$401.14	$814.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.68 / $498.67 / $814.34	Professional		$327.68	$498.67	$814.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.34 / $525.86 / $835.12	Professional		$341.34	$525.86	$835.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $554.78 / $983.16	Professional		$335.80	$554.78	$983.16